Identities/MBR-000519

Gold, golden identity

Stephanie Y Ruiz

6 source records from 3 feeds.

MBR-000519Verified6 records

Golden record

Source priority ENR > PRV > CLM > TPA; most recent value for phone, email, address_line1, city, state, zip

First nameENR: Stephanie
Middle nameENR: Y
Last nameENR: Ruiz
Date of birthENR: 1999-01-26
GenderENR: F
Member IDENR: UHC-28633-53
SSNCLM: •••-••-5130
PhoneTPA: 4306685495
EmailENR: stephanie.ruiz@gmail.com
AddressENR: 1752 Main St
CityENR: Eden Prairie
StateENR: MN
ZIPENR: 55329
GroupENR: GRP-3242
PlanENR: CORE-HMO

Min confidence

0.99

Sources

ENR ×1CLM ×3TPA ×2

Updated

2026-10-19 19:54:36

run-mvfoap9e

Identity graph

Source records linked to this identity and the confidence of each link

Golden identityEnrollmentClaimsProvider networkThird-party administratorAuto link (at or above 0.85)Below thresholdSteward link

Linked source records

Silver values for each record in the cluster, and how it was attached

Record	Source	Received	Name	DOB	Member ID	Phone	Address	Method	Confidence	Rule
ENR-116053	ENR	2026-01-02	Stephanie Ruizflagged	1999-01-26	UHC-28633-53	—	1752 Main St, Eden Prairie, MN	Scored	1.00	—
CLM-412180	CLM	2026-01-03	Stephanie Ruizflagged	1999-01-26	UHC-28633-53	—	1752 Main St, Eden Prairie, MN	Scored	1.00	—
TPA-55371	TPA	2026-06-12	Stephanie Ruizflagged	1999-01-26	—	4306685495	1752 Main St, Eden Prairie, MN	Scored	1.00	—
TPA-55372	TPA	2026-08-29	Stephanie Ruizflagged	—	—	—	1752 Main St, Eden Prairie, MN	Scored	1.00	—
CLM-412182	CLM	2026-08-29	Stephhanie Ruizflagged	1999-01-26	UHC-28633-53	—	—	Rule	0.99	D1 member id + dob exact
CLM-412181	CLM	2026-09-03	Stephanie Ruizflagged	1999-01-26	UHC-28633-53	—	1752 Main St, Eden Prairie, MN	Scored	1.00	—

Evidence

14 scored pairs among these records, expand a row for the per-field comparison

Score

Method

Rule

Decision

▶TPA-55371TPACLM-412181CLM1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-116053ENRTPA-55371TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Email	1.00	1.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412180CLMTPA-55371TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412180CLMTPA-55372 TPA1.00Scoredweighted similarityAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
SSN (last four)	1.00	2.5
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-116053ENRCLM-412180CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶ENR-116053ENRCLM-412181CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412180CLMCLM-412181CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	1.00	3
Date of birth	1.00	3	exact
Member ID	1.00	4
Address	1.00	2	exact

Identifiers agreeing: 2Conflicts: noneGuard: none

▶CLM-412182CLMCLM-412181CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶ENR-116053ENRCLM-412182CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶CLM-412180CLMCLM-412182CLM0.99RuleD1 member id + dob exactAuto-linked

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact
Member ID	1.00	4

Identifiers agreeing: 1Conflicts: noneGuard: none

▶TPA-55372 TPACLM-412181CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶TPA-55371TPACLM-412182CLM0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	0.99	3
Date of birth	1.00	3	exact

Identifiers agreeing: 0Conflicts: noneGuard: No identifier agrees

▶ENR-116053ENRTPA-55372 TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

▶TPA-55371TPATPA-55372 TPA0.83Scoredweighted similaritySent to steward

Field	Similarity	Weight	Note
Name	1.00	3
Address	1.00	2	exact

Identifiers agreeing: 1Conflicts: noneGuard: Too few fields to compare

Actions

What downstream consumers did with this identity

Care coordination outreachProposed
Stephanie Ruiz: 3 claims, no attributed provider
ACT-017803, Next-best-action

Audit

Hash-chained entries touching this identity or its records

2026-10-19 19:54:38Record linked automaticallyb900e02770
scoring_agent, CLM-412181, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:54:38Record linked automaticallye5ba09509b
matching_agent, CLM-412182, identity id MBR-000519, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116053
2026-10-19 19:54:38Record linked automatically6d94f8b552
scoring_agent, TPA-55372, identity id MBR-000519, confidence 1, method probabilistic, matched record CLM-412180, policy version 1
2026-10-19 19:54:38Record linked automaticallyfd37183edd
scoring_agent, TPA-55371, identity id MBR-000519, confidence 1, method probabilistic, matched record ENR-116053, policy version 1
2026-10-19 19:54:38Record linked automaticallya9f4f6d38f
scoring_agent, CLM-412180, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:54:38Record linked automatically81ce06536b
scoring_agent, ENR-116053, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:52:08Record linked automaticallycffd7ab1a8
scoring_agent, CLM-412181, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:52:08Record linked automatically32f59b5fee
matching_agent, CLM-412182, identity id MBR-000519, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116053
2026-10-19 19:52:08Record linked automatically32fe6e7145
scoring_agent, TPA-55372, identity id MBR-000519, confidence 1, method probabilistic, matched record CLM-412180, policy version 1
2026-10-19 19:52:08Record linked automaticallyef5ce287a2
scoring_agent, TPA-55371, identity id MBR-000519, confidence 1, method probabilistic, matched record ENR-116053, policy version 1
2026-10-19 19:52:08Record linked automaticallyc03b56fc73
scoring_agent, CLM-412180, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:52:08Record linked automaticallycf25d38156
scoring_agent, ENR-116053, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:45:41Record linked automatically2ba0b995f9
scoring_agent, CLM-412181, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:45:41Record linked automatically873f534468
matching_agent, CLM-412182, identity id MBR-000519, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116053
2026-10-19 19:45:41Record linked automaticallyd19363220a
scoring_agent, TPA-55372, identity id MBR-000519, confidence 1, method probabilistic, matched record CLM-412180, policy version 1
2026-10-19 19:45:41Record linked automatically34d81d4ed3
scoring_agent, TPA-55371, identity id MBR-000519, confidence 1, method probabilistic, matched record ENR-116053, policy version 1
2026-10-19 19:45:41Record linked automatically82db844f99
scoring_agent, CLM-412180, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:45:41Record linked automatically5ab923b739
scoring_agent, ENR-116053, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:32:31Record linked automaticallybd5f48b68a
scoring_agent, CLM-412181, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:32:31Record linked automaticallyf3fb64b668
matching_agent, CLM-412182, identity id MBR-000519, confidence 0.99, rule D1 member_id + dob exact, method deterministic, matched record ENR-116053
2026-10-19 19:32:31Record linked automaticallyfa82620902
scoring_agent, TPA-55372, identity id MBR-000519, confidence 1, method probabilistic, matched record CLM-412180, policy version 1
2026-10-19 19:32:31Record linked automaticallyaf0019d9a4
scoring_agent, TPA-55371, identity id MBR-000519, confidence 1, method probabilistic, matched record ENR-116053, policy version 1
2026-10-19 19:32:31Record linked automaticallyad618fdfd6
scoring_agent, CLM-412180, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:32:31Record linked automatically3146fa4e76
scoring_agent, ENR-116053, identity id MBR-000519, confidence 1, method probabilistic, matched record TPA-55371, policy version 1
2026-10-19 19:31:28Record linked automatically7aa44b1c15
matching_agent, CLM-412182, identity id MBR-027569, confidence 0.97, rule D2 ssn4 + dob + last name, method deterministic, matched record ENR-116099
2026-10-19 19:31:28Record linked automaticallyda7e1d2856
scoring_agent, TPA-55372, identity id MBR-014978, confidence 1, method probabilistic, matched record ENR-116053, policy version 1
2026-10-19 19:31:28Record linked automaticallyb6d56d7425
scoring_agent, ENR-116053, identity id MBR-014978, confidence 1, method probabilistic, matched record TPA-55372, policy version 1
2026-10-19 19:31:28Record linked automatically036911507d
scoring_agent, CLM-412181, identity id MBR-010376, confidence 1, method probabilistic, matched record ENR-116097, policy version 1
2026-10-19 19:31:28Record linked automaticallyd3c8f5a4d0
scoring_agent, CLM-412180, identity id MBR-010376, confidence 1, method probabilistic, matched record CLM-412181, policy version 1
2026-10-19 19:31:28Record linked automaticallyd5e6afe983
scoring_agent, TPA-55371, identity id MBR-008620, confidence 1.00, method probabilistic, matched record PRV-23582, policy version 1

Claims for this member

Claims attached through the identity graph; holds follow open steward cases automatically

All claims

Claim	Service	Provider	Procedures	Billed	Plan paid	Rules	Status
CLM-2026-013385	2026-08-03	Pinecrest Medical Group in network	70553	$2,820.00	—	Needs review	Needs review
CLM-2026-034547	2026-08-17	Lakeside Medical Group out of network	99203, 90471	$288.00	—	Denied	Denied
CLM-2026-017653	2025-11-26	Meadow Physical Therapy out of network	97110, 97161	$381.00	—	Denied	Denied